Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.66 / $787.00 / $9,311.00	Facility		$618.66	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.13 / $654.41 / $765.36	Professional		$617.13	$654.41	$765.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.68 / $613.98 / $922.54	Professional		$506.68	$613.98	$922.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $631.92 / $867.36 / $1,000.56	Facility		$631.92	$867.36	$1,000.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $712.47 / $867.36 / $1,393.97	Professional		$712.47	$867.36	$1,393.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.91 / $782.17 / $782.17	Facility		$624.91	$782.17	$782.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.44 / $834.94 / $1,325.91	Professional		$643.44	$834.94	$1,325.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.55 / $774.84 / $1,165.70	Professional		$548.55	$774.84	$1,165.70